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Kahlon Surinderpal S
Clinic/Center in Danville, Illinois
NPI 1720350275

Kahlon Surinderpal S is a Clinic/Center based in Danville, IL. Kahlon Surinderpal S practices in Danville, IL. The NPI Number for Kahlon Surinderpal S is 1720350275 and holds a License No. 036091614 (Illinois).

The current practice location address for Kahlon Surinderpal S is 601 N Logan Ave, Danville, IL and can be reached out via phone at 217-442-4055 and via fax at 425-795-5915.

Location: 601 N Logan Ave, Danville, IL, 61832-4320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720350275
Provider Name
Kahlon Surinderpal S
Credential
Provider Entity Type
Organization
Address
601 N Logan Ave, Danville, IL, 61832-4320
Phone Number
217-442-4055
Fax Number
425-795-5915
Provider Enumeration Date
01/30/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36137-20 01 WI LICENSE
036091614 05 IL
09232010 01 IL BCBS
01058575A 01 IN LICENSE
institution
Provider Business Practice Location Address Details
Address
601 N Logan Ave
City
Danville
State
Illinois
Zip
61832-4320
Phone Number
217-442-4055
Fax Number
425-795-5915
person
Provider Business Mailing Address Details
Address
601 N Logan Ave
City
Danville
State
Illinois
Zip
61832-4320
Phone Number
217-442-4055
Fax Number
425-795-5915
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
036091614 (Illinois)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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